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Hello dear!!Thanks for the question and provided information as well. Unfortunately, without pictures, it is very difficult to give you a proper answer. l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.Good luck :)
Perhaps liposuction of the lower back and flanks with a fat transfer to the hips can create a rounder appearance to offset the appearance of a longer buttock. Its difficult to say for sure without an examination.
without several good quality photos it's impossible to advise you on what may be applicable to you. In the very sagging butt, it can be shortened with a formal Butt/Thigh Lift. But in many women excess fat in the lower back gives a heart shaped configuration with an elongated appearance. In these women Back Scoop liposuction can nicely correct the problem and make the residual butt "pop"Dr. Peter A. AldeaMemphis, TN